A pilot study of new promising non-coding RNA diagnostic biomarkers for early-stage colorectal cancers
-
Hanshao Liu
, Deji Ye , Aijun Chen , Dan Tan , Wenpeng Zhang , Wenxia Jiang , Mingliang Wangand Xiaoren Zhang
Abstract
Background
Diagnostic biomarkers for the detection of colorectal cancers (CRCs) are lacking. Recent studies have demonstrated that circulating long non-coding RNAs have the potential to serve as biomarkers for the detection of cancers. We analyzed the significance of lncRNAs 91H, PVT-1 and MEG3 in the detection of CRC.
Methods
We examined the expression levels of 13 candidate lncRNAs in the plasma of 18 CRC patients and 20 non-cancerous controls. Then, we validated our findings by determining the expression levels of six promising lncRNAs in CRC tissues and normal colorectal tissues. Finally, we evaluated the clinical relevance of lncRNAs 91H, PVT-1 and MEG3 in the plasma of 58 CRC patients and 56 non-cancerous controls.
Results
Our data revealed that the expression levels of lncRNAs 91H, PVT-1 and MEG3 were significantly higher in plasma samples from CRC patients than in those from non-cancerous controls. The combination of 91H, PVT-1 and MEG3 could discriminate CRC patients from non-cancerous controls with an area under the receiver-operating curve (AUC) of 0.877 at a cut-off value of 0.3816, with a sensitivity of 82.76% and 78.57% specificity. More importantly, the combination of lncRNAs shows more sensitivity in the detection of early-stage CRC than the combination of CEA and CA19-9, biomarkers currently used for CRC detection (p < 0.0001).
Conclusions
lncRNAs 91H, PVT-1 and MEG3 are promising diagnostic biomarkers for early-stage CRC.
Funding source: National Program on Key Research
Award Identifier / Grant number: 2016YFC1302400
Funding source: National Basic Research Program
Award Identifier / Grant number: 2014CB541904
Award Identifier / Grant number: 2014CB943600
Funding source: National Natural Science Foundation of China
Award Identifier / Grant number: 91742113
Award Identifier / Grant number: 31570902
Award Identifier / Grant number: 31370881
Funding source: Natural Science Foundation of Shanghai
Award Identifier / Grant number: 14ZR1426300
Award Identifier / Grant number: 18ZR1446400
Funding statement: This work was supported by the National Program on Key Research (2016YFC1302400), the National Basic Research Program (2014CB541904, 2014CB943600), National Natural Science Foundation of China (Funder Id: http://dx.doi.org/10.13039/501100001809, 91742113, Funder Id: http://dx.doi.org/10.13039/501100001809, 31570902, Funder Id: http://dx.doi.org/10.13039/501100001809, 31370881), and Natural Science Foundation of Shanghai (14ZR1426300, 18ZR1446400).
Author contributions: Conception and design: X. Zhang, H. Liu, M. Wang. Development of methodology: H. Liu. Acquisition of data (e.g. provided animals, acquired and managed patients, provided facilities, etc.): A. Chen, H. Liu, D. Ye, D. Tan. Analysis and interpretation of data (e.g. statistical analysis, biostatistics, computational analysis): H. Liu, D. Ye. Writing, review and/or revision of the manuscript: H. Liu, X. Zhang, M Wang, D. Ye. Administrative, technical, or material support (i.e. reporting or organizing data, constructing databases): X. Zhang, M. Wang, H. Liu. Study supervision: X. Zhang, M Wang. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/cclm-2019-0052).
©2019 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Editorial
- Epigenetics in cancer: a promising path to follow?
- Reviews
- The circulating miRNAs as diagnostic and prognostic markers
- Analytical barriers in clinical B-type natriuretic peptide measurement and the promising analytical methods based on mass spectrometry technology
- Mini Review
- Commutability of reference and control materials: an essential factor for assuring the quality of measurements in Laboratory Medicine
- EFLM Paper
- Preanalytical challenges – time for solutions
- General Clinical Chemistry and Laboratory Medicine
- Iron status determination in individuals with Helicobacter pylori infection: conventional vs. new laboratory biomarkers
- Harmonizing by reducing inter-run variability: performance evaluation of a quality assurance program for antinuclear antibody detection by indirect immunofluorescence
- Increased prevalence of anti-DFS70 antibodies in young females: experience from a large international multi-center study on blood donors
- Accuracy of determination of the glomerular filtration marker iohexol by European laboratories as monitored by external quality assessment
- Therapeutic drug monitoring (TDM) of 5-fluorouracil (5-FU): new preanalytic aspects
- Monitoring the effectiveness of hypothermia in perinatal asphyxia infants by urinary S100B levels
- Hematology and Coagulation
- Determination of haemoglobin derivatives in aged dried blood spot to estimate haematocrit
- Reference Values and Biological Variations
- A study of biological and lifestyle factors, including within-subject variation, affecting concentrations of growth differentiation factor 15 in serum
- Reference intervals for thyroid-stimulating hormone, free thyroxine, and free triiodothyronine in elderly Chinese persons
- Cancer Diagnostics
- Extracellular vesicle-associated miRNAs in ovarian cancer – design of an integrated NGS-based workflow for the identification of blood-based biomarkers for platinum-resistance
- Evaluating the diagnostic and prognostic value of serum long non-coding RNA CTC-497E21.4 in gastric cancer
- A pilot study of new promising non-coding RNA diagnostic biomarkers for early-stage colorectal cancers
- Cardiovascular Diseases
- Prognostic role of GDF-15 across the spectrum of clinical risk in patients with NSTE-ACS
- Acute-phase dynamics and prognostic value of growth differentiation factor-15 in ST-elevation myocardial infarction
- Diabetes
- Lipid profile and genetic status in a familial hypercholesterolemia pediatric population: exploring the LDL/HDL ratio
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- Need of a dedicated isotopic internal standard for accurate 3-epi-25(OH)D3 quantification by LC-MS/MS
- An unexpectedly prolonged severe hyperbilirubinemia in a patient with pre-existing hepatitis A: a role of genetic predisposition?
- Creatine kinase elevation: a neglected clue to the diagnosis of polymyositis. A case report
- Analytical performance of the new Siemens NT-proBNP assays on the Advia Centaur XPT compared to the NT-proBNP method on the Dimension Vista
- Free PAPP-A as a biomarker: heparin-induced release is not related to coronary atherosclerotic burden
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